ULTRASIM: Ultrasound in trauma simulation

McLean, Devon; Hewitson, Leanne; Atkinson, Paul; Lewis, David A.; Fraser, Jacqueline; Verheul, Glenn; Mekwan, J.; Robinson, B. L.

doi:10.1017/cem.2018.56

Cited by 3 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One benefit of simulation-based training highlighted is better comprehension, which may in part be due to decreased levels of anxiety in learners [ 25 ]. Others studies have shown low-cost POCUS simulators improve skills for POCUS novices [ 26 – 28 ]. Parks, in 2013, carried out standardized ultrasound competency training through simulation that included online teaching, didactic presentations and hands-on practice.…”

Section: Discussionmentioning

confidence: 99%

Simulator-based ultrasound training for identification of endotracheal tube placement in a neonatal intensive care unit using point of care ultrasound

et al. 2020

View full text Add to dashboard Cite

Background Simulators are an extensively utilized teaching tool in clinical settings. Simulation enables learners to practice and improve their skills in a safe and controlled environment before using these skills on patients. We evaluated the effect of a training session utilizing a novel intubation ultrasound simulator on the accuracy of provider detection of tracheal versus esophageal neonatal endotracheal tube (ETT) placement using point-of-care ultrasound (POCUS). We also investigated whether the time to POCUS image interpretation decreased with repeated simulator attempts. Methods Sixty neonatal health care providers participated in a three-hour simulator-based training session in the neonatal intensive care unit (NICU) of Aga Khan University Hospital (AKUH), Karachi, Pakistan. Participants included neonatologists, neonatal fellows, pediatric residents and senior nursing staff. The training utilized a novel low-cost simulator made with gelatin, water and psyllium fiber. Training consisted of a didactic session, practice with the simulator, and practice with intubated NICU patients. At the end of training, participants underwent an objective structured assessment of technical skills (OSATS) and ten rounds of simulator-based testing of their ability to use POCUS to differentiate between simulated tracheal and esophageal intubations. Results The majority of the participants in the training had an average of 7.0 years (SD 4.9) of clinical experience. After controlling for gender, profession, years of practice and POCUS knowledge, linear mixed model and mixed effects logistic regression demonstrated marginal improvement in POCUS interpretation over repeated simulator testing. The mean time-to-interpretation decreased from 24.7 (SD 20.3) seconds for test 1 to 10.1 (SD 4.5) seconds for Test 10, p < 0.001. There was an average reduction of 1.3 s (β = − 1.3; 95% CI: − 1.66 to − 1.0) in time-to-interpretation with repeated simulator testing after adjusting for the covariates listed above. Conclusion We found a three-hour simulator-based training session had a significant impact on technical skills and performance of neonatal health care providers in identification of ETT position using POCUS. Further research is needed to examine whether these skills are transferable to intubated newborns in various health settings. Trial registration ClinicalTrials.gov Identifier: NCT03533218. Registered May 2018.

show abstract

Section: Discussionmentioning

confidence: 99%

Simulator-based ultrasound training for identification of endotracheal tube placement in a neonatal intensive care unit using point of care ultrasound

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Unabhängig davon hat sich weltweit das FAST-Konzept (Focused Assessment with Sonography for Trauma) im Traumapatientenalgorithmus durchgesetzt [79]. In diesem Zusammenhang konnte gezeigt werden, dass ein Simulationstraining mit Ultraschall die erzielten Leistungen der Allgemeinchirurgen signifikant verbesserte [80].…”

Section: Kritische Literaturanalyse Mit Statements Und Empfehlungenunclassified

State of the art: Simulation in der Ultraschallausbildung

Lucius,

Koch,

Jenssen

et al. 2024

Z Gastroenterol

View full text Add to dashboard Cite

ZusammenfassungDie Simulation diagnostischer und therapeutischer Prozeduren nimmt in der medizinischen Aus- und Weiterbildung einen wachsenden Stellenwert ein und ist auch für das Erlernen von Ultraschallverfahren zunehmend relevant. In der vorliegenden Übersichtsarbeit werden die verschiedenen Simulationsstufen der Ultraschallmethodik und deren technische Grundlagen beschrieben. Zudem erfolgt eine kritische Literaturanalyse mit daraus abgeleiteten Empfehlungen zur Implementierung von Simulationstechniken in die ärztliche Aus- und Weiterbildung im Bereich der Ultraschalldiagnostik. Eine Gegenüberstellung von Vor- und Nachteilen der praktischen Anwendung belegt den Nutzen von Simulationen in Ausbildungssituationen, insbesondere im Kontext individueller Lernumgebungen und pandemiebedingter Kontaktbeschränkungen. Jedoch können die Komplexität der klinischen Untersuchungssituation und die Interaktion mit realen Patienten nur unvollkommen simuliert werden. Zukünftige Anwendungen sollten daher insbesondere für das Wiederholen und Prüfen bereits erlernter Kompetenzen unter Verwendung standardisierter Feedbackmechanismen eingesetzt werden, um begrenzte Weiterbildungsressourcen effektiver zu nutzen.

show abstract

“…[ 71 ] Interestingly, this application is also one of very few examples where simulation training with ultrasound has been reported to have a significant and positive impact on general surgery residents’ performance. [ 72 ] General surgery was among the first specialties to embrace simulation in the educational process and today is at the leading edge of this trend with extensive use of laparoscopic and recently robotic surgery simulation with the widespread use of Da Vinci systems worldwide. [ 73 ] Ultrasound scanners are now available as plug-in devices and picture-in-picture presentation for most laparoscopic equipment including robotic versions such as Da Vinci.…”

Section: Ultrasound Simulation In General Surgerymentioning

confidence: 99%

The ultrasound use of simulators, current view, and perspectives: Requirements and technical aspects (WFUMB state of the art paper)

Dietrich

Lucius²,

Nielsen³

et al. 2022

Endoscopic Ultrasound

View full text Add to dashboard Cite

Simulation has been shown to improve clinical learning outcomes, speed up the learning process and improve learner confidence, whilst initially taking pressure off busy clinical lists. The World Federation for Ultrasound in Medicine and Biology (WFUMB) state of the art paper on the use of simulators in ultrasound education introduces ultrasound simulation, its advantages and challenges. It describes different simulator types, including low and high-fidelity simulators, the requirements and technical aspects of simulators, followed by the clinical applications of ultrasound simulation. The paper discusses the role of ultrasound simulation in ultrasound clinical training, referencing established literature. Requirements for successful ultrasound simulation acceptance into educational structures are explored. Despite being in its infancy, ultrasound simulation already offers a wide range of training opportunities and likely holds the key to a broader point of care ultrasound education for medical students, practicing doctors, and other health care professionals. Despite the drawbacks of simulation, there are also many advantages, which are expanding rapidly as the technology evolves.

show abstract

ULTRASIM: Ultrasound in trauma simulation

Cited by 3 publications

References 8 publications

Simulator-based ultrasound training for identification of endotracheal tube placement in a neonatal intensive care unit using point of care ultrasound

Simulator-based ultrasound training for identification of endotracheal tube placement in a neonatal intensive care unit using point of care ultrasound

State of the art: Simulation in der Ultraschallausbildung

The ultrasound use of simulators, current view, and perspectives: Requirements and technical aspects (WFUMB state of the art paper)

Contact Info

Product

Resources

About